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General NPI Number Information
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NPI Number | 1821668260
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Entity Type | Organization
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Legal Business Name | WOMEN'S IMAGING SPECIALISTS - JOHNS CREEK
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 3855 JOHNS CREEK PKWY STE B
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City | SUWANEE
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State | GA
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Zip | 30024-1293
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Country | US
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Telephone | 678-960-8555
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Fax | 800-889-0010
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Provider Business Mailing Address
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Address Line | 3180 N POINT PKWY STE 106
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City | ALPHARETTA
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State | GA
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Zip | 30005-4349
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Country | US
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Telephone | 866-300-8512
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Fax | 800-613-8386
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER L REDDY
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Credential |
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Telephone | 404-428-6107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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